Just What the Doctor Ordered? Physician Mobility after the Adoption of Electronic Health Records
50 Pages Posted: 5 Jan 2017 Last revised: 13 Sep 2017
Date Written: January 3, 2017
Although significant research has examined the effect of enterprise information systems on the behavior and careers of employees, the majority of this work has been devoted to the study of blue and grey collar workers, with little attention paid to the transformative effect IT may have on high status professionals. In this paper, we begin to bridge this gap by examining how highly skilled professionals react to the increasing presence of technology within their organizations. Specifically, we investigate how the implementation of electronic health record systems (EHRs) affects physician mobility and the decision to continue practicing at their current hospital. Results from a census of physicians in the state of Florida suggest that when enterprise systems create complementarities for the physician, their duration of practice at the focal organization increases significantly. However, when technologies alter routines and force physicians to change the way they practice medicine, there is a pronounced exodus from the organization. Interestingly, despite recent claims, results do not suggest that such technology adoption by hospitals is associated with accelerated retirement on the part of physicians or strategic poaching of talent on the part of competing hospitals. Theoretical and practical implications are discussed within.
Keywords: Physician Mobility, Technology Adoption, Electronic Health Records, Logit Hazard Model
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